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1255473963
JEJERRY STALLER
NEW CITY, NY
NPI
1255473963
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Professional Name
JERRY STALLER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 002976)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Mr. JEJERRY STALLER
260 N LITTLE TOR RD
NEW CITY, NY 10956-2627
Phone number: 845-634-4648
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Mailing Address
Mr. JEJERRY STALLER
47 HERITAGE DR APT E
NEW CITY, NY 10956-5345
Phone number: 845-638-0655
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